Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,791.42 / $13,413.92 / $20,143.00	Facility		$2,791.42	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $925.65 / $4,734.35 / $6,628.10	Facility		$925.65	$4,734.35	$6,628.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $925.65 / $4,734.35 / $6,628.10	Facility		$925.65	$4,734.35	$6,628.10